Orthodontic Surgical Treatment

"Orthodontic Treatments that require Surgery".

Orthodontics in combination with surgery may be required for certain patients. Most of these patients are adults where there is no more change expected or possible due to growth of the bones themselves. Some children may also need Orthodontics in combination with Orthognathic surgery for a successful treatment result. These are children who have been born with a cleft lip or palate, or any other craniofacial anomaly.

Some of the commonly performed surgical procedures include

  • Genioplasty / Mentoplasty
    Is a type of surgery that is used to improve the appearance of a person's face. This can take the form of chin height reduction or chin rounding by osteotomy, or chin augmentation using implants.

    A particular process, known as a sliding genioplasty, involves removing a horseshoe-shaped piece of the chin bone and sliding it either backwards or forwards, and finally fixing it in place using titanium screws. This type of surgery is usually performed by an Oral and Maxillofacial surgeon.
  • Bilateral Sagittal Split Osteotomy
    Is the surgery which is recommended when the lower jaw is placed too far forward or too far back. It involves placement of cuts in the bone behind the last teeth and repositioning the bone segments to alter the facial appearance.
  • Leforte I Osteotomy
    Is the surgical procedure done on the maxilla (upper jaw) to shorten or lengthen the maxilla, to correct maxillary protrusion (forward positioning), or retrusion (backward positioning) respectively. Also done to correct the vertical excess of maxilla (gummy smile). An incision is placed inside the mouth, the maxilla is down fractured and the excess bone is removed. After repositioning of the jaw, the jawbones are held together in place with the help of wires or bone plates. The incision is sutured with absorbable sutures.
  • Distraction osteogenesis
    Is also called callus distraction, callotasis and osteodistraction is a surgical process used to reconstruct skeletal deformities and lengthen the long bones of the body. During surgery the bone is fractured into two segments, and the two bone ends of the bone are gradually moved apart during the distraction phase, allowing new bone to form in the gap. When the desired length is reached, a consolidation phase follows in which the bone is allowed to keep healing. Distraction osteogenesis has the benefit of simultaneously increasing bone length and the volume of surrounding soft tissues.

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